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Home My WebLink AboutBLDE-22-005165 Commonwealth of Official Use Only Ft Massachusetts Permit No. BLDE-22-005165 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 42 MEDINAH DR Owner or Tenant Joan Wright Telephone No. Owner's Address 42 MEDINAH DR,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generatory •, „ Completion of the following table ti 'ved by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 22 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Matthew S Fronius Licensee: Matthew S Fronius Signature LIC.NO.: 22030 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 OLD COLONY DR, MASHPEE MA 026492534 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 i 14 Coaaraanruaa(th°I/yyl„ ,� una Official Use Only y i cry cc77 Permit No. ei7i7/S 1�J o, 2apartment o`.1iee—gawked J Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/1 1/2022 JCity or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)42 Medinah Dr. Owner or Tenant Wright, �miaN Telephone No. 508-444-8144 • Owner's Address l ��// e Is this permit in conjunction with a building permit? Yes ❑ Na yJ (Check Appropriate Box) 0 Purpose of Building Utility Authorization No. OExisting Service Amps / Volts Overhead❑ Undgrd D No.of Meters ,o New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ..i• Location and Nature of Proposed Electrical Work: wire and install 22kw generator VICompletion of thefollowingtable maybe waived by the Inspector of Wires. Ui No.of Recessed Luminaires No.of Cell:Soap.(Paddle)Fans No.of Total Transformers KVA G1 No.of Luminaire Outlets No.of Hot Tubs Generators / KVA 2 Z a Above In- 'No.of Emergency Lighting 3- No.of Luminaires Swimming Pool prod. ❑ grad ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z. No.of Switches No.of Gas Burners No.of DetectionDeviand ces Initiating Devices IV No.of Ranges No.of Air Cond. Totals Na.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW_._ No.of Self-Contained i Totals. Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑Mon Mi�o ❑Other No.of DryersHeating Appliances KW Security Systems:` No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.A dromassa a Bathtubs No.of Motors Total HP Telecommunications r auivag y g No.of Devices or Eauivaleot OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 3/21/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE j BOND ❑ OTHER D (Specify:) I certify,ander the pains and penalties of perjury,that the information on this amyl' Lion is true and complete. FIRM NAME:Fronius Electric,LLC o.: 220 Licensee: Matthew Fronius Signature aa030/$ (If applicable,enter'exempt"in the license number line.) Bus.Tel.No.' Address: Alt.Tel.No.: `Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Telephone No. PERMIT FEE:$ e Signature P